Provider Demographics
NPI:1952575623
Name:CRONIN, RHONDA J (DPM)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:J
Last Name:CRONIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 MAKEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3150
Mailing Address - Country:US
Mailing Address - Phone:215-295-5658
Mailing Address - Fax:
Practice Address - Street 1:1546 MAKEFIELD RD
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-3150
Practice Address - Country:US
Practice Address - Phone:215-295-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002978L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010591380005Medicaid
PAT30343Medicare UPIN